There is no one definitive answer to this question. Some transgender people do need to be on hormones in order to undergo top surgery, while others do not. The best way to find out if you need hormones for top surgery is to speak with a doctor who specializes in transgender health care.
There are a few reasons why someone might need hormones for top surgery. One reason is that some forms of top surgery, such as a mastectomy, require the removal of breast tissue. This tissue can only be removed if the person taking hormone therapy has had their ovaries removed – which can only be done through hormone therapy.
Another reason someone might need hormones for top surgery is because they are transitioning from female to male and want to achieve a more masculine appearance. In order to achieve this appearance, many transgender men take testosterone therapy which causes the development of facial hair and other masculine features.
Whether or not you need hormones for top surgery will depend on your individual medical history and goals related to your transition process
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